Individual
AMANDA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 E SHEPHERD AVE, LUFKIN, TX 75901-0315
(936) 366-2348
Mailing address
550 BOURROUS DR, DIBOLL, TX 75941-4724
(936) 366-2348
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1075604
TX
Other
Enumeration date
04/26/2022
Last updated
10/11/2022
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